Mr Michael Carr, PTA | |
4210 Sabana Grande Ave Se, Rio Rancho, NM 87124-1152 | |
(505) 892-6603 | |
Not Available |
Full Name | Mr Michael Carr |
---|---|
Gender | Male |
Speciality | Physical Therapy Assistant |
Location | 4210 Sabana Grande Ave Se, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023265063 | NPI | - | NPPES |
099709 | Other | MEDICARE GROUP | |
10025112300 | Medicaid | NE | |
216812 | Other | COVENTRY | |
39960 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 806 (Nebraska) | Secondary |
225200000X | Physical Therapy Assistant | A-0640 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Carr, PTA 4210 Sabana Grande Ave Se, Rio Rancho, NM 87124-1152 Ph: (505) 892-6603 | Mr Michael Carr, PTA 4210 Sabana Grande Ave Se, Rio Rancho, NM 87124-1152 Ph: (505) 892-6603 |
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